Active NPI
Susan M Nelson, MSW
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1558382036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904000041
- Practice address
- 9200 Forest Hill Ave
Suite C-2
Richmond, VA 23235-6867 - Phone
- (804) 323-3262
- Fax
- (804) 330-3827
- NPI assigned
- Jul 21, 2006
- Last updated
- Dec 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0904000041 | VA | Primary |
Addresses
Primary practice location
9200 Forest Hill Ave
Suite C-2
Richmond, VA 23235-6867
Mailing address
9200 Forest Hill Ave
Suite C-2
Richmond, VA 23235-6867
Phone (804) 323-3262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2021 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1558382036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 FOREST HILL AVE",
"address_2": "SUITE C-2",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232356867",
"telephone_number": "804-323-3262",
"fax_number": "804-330-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 FOREST HILL AVE",
"address_2": "SUITE C-2",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232356867",
"telephone_number": "804-323-3262",
"fax_number": "804-330-3827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SUSAN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904000041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.